Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in West Virginia
MS-DRG 220: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
$262,752typical hospital bill
$48,937typical amount paid
$46,961–$50,913range paid across 2 hospitals
West Virginia hospitals billed Medicare a typical $262,752 for this stay in 2024, about 5.4 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Charleston Area Medical Center | Charleston | 15 | $312,757 | $46,961 | |
| West Virginia University Hospitals, Inc | Morgantown | 32 | $212,748 | $50,913 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.